Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lexington County Health Services District Inc (NPI 1356366314)

Field	Value
Entity Type	Organization
Organization	Lexington County Health Services District Inc
Address	2720 Sunset Blvd
City	West Columbia
State	SC
ZIP	29169
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Key Findings

LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC shows effectively single-payer billing activity: there is no Medicare revenue on file and total Medicaid revenue is $19.2M, so Medicaid accounts for the provider’s recorded lifetime claims activity and financial footprint. This concentration means any payer-rate or policy changes to Medicaid would directly affect the provider’s reported revenue base.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes 36415 ($2.7M, 19.0%), J7030 ($2.3M, 16.3%), and 80053 ($1.6M, 11.2%) together account for 46.5% of the provider’s total Medicaid revenue. That level of concentration highlights dependency on high-volume lab draws, infusion saline services, and comprehensive metabolic panels for nearly half of Medicaid receipts.

The code mix points to a hospital operating model with heavy diagnostic laboratory throughput and infusion/IV fluid administration alongside emergency care. High-volume lab codes (e.g., 36415, 80053, 80048, 81001, 87086) and multiple saline infusion codes (J7030, J7050, J7040) indicate the facility functions as a general acute care hospital with substantial outpatient/inpatient lab and infusion workflows rather than being driven by high-reimbursement procedural specialties.

For the blood-draw code 36415 the provider ranks #18 of 713 in-state and sits in the 98th percentile, a statistical description given as notably above typical state volume; this marks the facility as a regional leader in phlebotomy and specimen collection relative to peers. High relative volume on this foundational lab activity supports downstream testing revenues and reflects a strong sample-collection throughput.

Several specific lab tests also show above-typical state activity: 84439 (free T4) ranks #3 of 99 at the 98th percentile, 87081 (selective culture) ranks #4 of 87 at the 97th percentile, and 86703 (HIV immunoassay) ranks #2 of 14 at the 92nd percentile — each described as notably above typical state volume. Together these rankings indicate the provider is a prominent statewide performer for a range of diagnostic laboratory services rather than an isolated outlier in a single test.

Infusion-related codes are material but more typical relative to peers: J7030 ($2.3M, 16.3%) ranks #11 of 71 (86th percentile) and companion saline units J7050 and J7040 rank in the mid-to-high percentiles (88th and 86th respectively) and are described as typical or unremarkable in state volume. This pattern suggests consistent infusion and IV fluid utilization supporting medical and ED throughput, without the dominance seen in the top blood-draw code.

Emergency department E/M codes contribute meaningful but secondary Medicaid revenue: 99283 ($876.9K, 6.1%) and 99284 ($264.6K, 1.9%) rank #54 of 341 (84th percentile) and #44 of 353 (88th percentile) respectively and are labeled typical in state volume. Those ranks imply steady ED activity that provides a consistent source of visits and associated lab work, but ED E/M services do not drive the majority of Medicaid revenue.

The provider’s NPI was enumerated on 2006-07-12 (~20 years ago), indicating long tenure in the market; combined with the Medicaid-only billing profile and strong lab throughput, this tenure is consistent with a sustained regional safety-net or community hospital role that has developed high-volume diagnostic and infusion services over time. Analysts evaluating contracting or network strategies should treat the facility as an established Medicaid-focused acute care provider with lab and infusion strengths.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

348 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	37,130	$70	$2.7M
J7030	Infusion, normal saline solution , 1000 cc	11,820	$200	$2.3M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	39,990	$40	$1.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20,390	$40	$876.9K
J7050	Infusion, normal saline solution, 250 cc	8,910	$100	$846.6K
86900	The lab analyst performs a test to determine the patient’s blood type within the ABO blood group system using serum plasma as the specimen.	6,300	$120	$736.9K
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	4,150	$150	$635.6K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	19,010	$30	$475.4K
A9577	Injection, gadobenate dimeglumine (multihance), per ml	550	$800	$441.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	13,360	$30	$414.2K

Showing 1–10 of 348

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

Lexington County Health Services District Inc — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

348 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	16	210	1,470	$60	$615K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	229	350	2,590	$70	$550.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	54	340	110	$40	$450.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	44	350	100	$50	$446.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	31	200	1,680	$50	$443.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	38	60	170	$430	$434.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	77	140	2,520	$90	$415.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	113	290	2,600	$60	$414.4K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	13	110	1,880	$100	$414K
J7030	Infusion, normal saline solution , 1000 cc	11	70	2,620	$60	$337.3K

Showing 1–10 of 348

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lexington County Health Services District Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lexington Health Inc	SC	General Acute Care Hospital	$0	$27.4M
Lexington Health Inc	SC	Urgent Care Clinic/Center	$0	$8.7M
Lexington Health Inc	SC	Pediatric Adolescent Medicine Physician	$0	$5.7M
Lexington Health Inc	SC	Emergency Medicine Physician	$0	$4.2M
Lexington County Health Serv	SC	General Acute Care Hospital	$0	$4M
Steven Madden	SC	Hematology & Oncology Physician	$4M	$0
Lexington Health Inc	SC	Family Medicine Physician	$0	$4M
Lexington Health Inc	SC	Obstetrics & Gynecology Physician	$0	$3.5M
Vijaya Korrapati	SC	Hematology & Oncology Physician	$3.4M	$0
Perrie Ryan	SC	Hematology & Oncology Physician	$3.3M	$0

Nearby Providers

Other providers in the same ZIP code as Lexington County Health Services District Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Infusion Services LLC	SC	Infusion Therapy Clinic/Center	$0	$93.6M
United Cerebral Palsy Of South Carolina, Inc	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.7M
Palmetto Retina Center LLC	SC	Ophthalmology Physician	$0	$10.6M
Karen Park Family Dentistry, P.A.	SC	Dentist	$0	$4.2M
John Payne	SC	Ophthalmology Physician	$4M	$0
John Wells	SC	Ophthalmology Physician	$3.9M	$0
Lexington Treatment Specialists LLC	SC	Methadone Clinic	$76.7K	$3.6M
William Clark	SC	Ophthalmology Physician	$3.3M	$0
Asheesh Lal	SC	Hematology & Oncology Physician	$3.2M	$0
James Wells	SC	Hematology & Oncology Physician	$3.2M	$0

Lexington County Health Services District Inc — Billing Profile & Reimbursement Data

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Lexington County Health Services District Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References